Verkeerde schoenen op jeugdige leeftijd geven later veel kans op voetproblemen*
Uit een Amerikaanse studie onder ruim 3.300 deelnemers blijkt dat vooral vrouwen met verkeerde schoenen op jongere leeftijd later in het leven de meeste voetproblemen hebben. Schoenen met weinig risico zijn lage schoenen waaronder sportschoenen. Schoenen met middelmatig risico zijn schoenen met een harde, vaak gummi, zool waaronder ook werkschoenen. Schoenen met een hoog risico zijn schoenen met weinig steun zoals schoenen met een hoge hak, sandalen en slippers. Slechte schoenen geven op termijn vooral pijn in de achtervoet. Dit kan zonodig verminderd worden door regelmatig de achtervoet te stretchen.
Women Who Make Poor Shoe Choices At Risk For Foot Pain Later In Life
A recently published study determined that women who make poor shoe choices early in life suffer with foot pain in later years. Research shows that men do not experience the same foot pain as women, due to type of shoes they wear. Details of this study appear in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology.
National data reveal that foot and toe symptoms are among the top 20 reasons patients ages 65-74 visit their physician. In the U.S., foot pain is considered a very common musculoskeletal symptom and occurs in such conditions as rheumatoid arthritis, diabetes, and gout, or with sprains, muscle strains, bruises, and fractures. Previous studies have determined a correlation between improper footwear and foot pain, but this research focused on small patient samples or disease specific studies.
Researchers from Boston University School of Public Health and the Institute for Aging Research at Hebrew SeniorLife enrolled 3,372 participants in the Framingham Foot Study. Participants were derived from 2 large population-based samples of residents from Framingham, Massachusetts. The first group was part of the Framingham Study Original Cohort (formed in 1948) and the Framingham Offspring Cohort (formed in 1972) that were originally studied for heart disease risk factors. The second group was a new population sample derived from census data and included subjects who were at least 50 years old and ambulatory who were added to increase participation by minority persons.
The Framingham Foot Study assessed 1,472 men and 1,900 women between 2002 and 2008. Subjects were asked if they experienced pain, aching, or stiffness in either or both feet. Data on specific areas of foot pain was identified in the nails, forefoot, hindfoot, heel, arch of the foot, and ball of the foot. Participants provided information on current and past shoewear across five age groups: 20-29 years, 30-44 years, 45-64 years, 65-74 years, and 75+ years. Shoewear was classified as good (low risk shoes including athletic and casual sneakers), average (mid risk shoes such as hard- or rubber-soled shoes, special shoes and work boots), and poor shoes (high-risk shoewear that lack support and sound structure, including high-heeled shoes, sandals, and slippers).
According to the study 25% of participants reported generalized foot pain on most days with 19% of men and 29% of women falling into this subtype. "In women, we found an increased risk between hindfoot pain and shoewear," said the authors. The study revealed that only a small percentage (< 2%) of men wore poor shoes, thus shoe type is not a major factor for developing foot pain in men. "While more research is needed, young women should make careful choices regarding their shoe type to avoid hindfoot pain later in life, or perform stretching exercises to alleviate the effect of high heels on foot pain," recommended researchers.
Citation:
"Foot Pain: Is Current or Past Shoewear a Factor?"
Alyssa B. Dufour, Kerry E. Broe, Anne H. Walker, Erin Kivell, Uyen-Sa D.T. Nguyen, Marian T. Hannan, David R. Gagnon, Howard J. Hillstrom.
Arthritis Care & Research; (DOI: 10.1002/art.24733)
Source
American College of Rheumatology (November
2009)
Spierversterkende oefeningen voor de voeten:
Rol, zittend bijvoorbeeld een zacht balletje van je tenen naar je hiel toe en druk in de holte van je voet om die te versoepelen of rol een uitgevouwen handdoek met je tenen op. Na 15 seconden rust doe je hetzelfde met de andere voet.
Zittend of staand: Raap met je tenen knikkers op. Na 15 seconden rust doe je hetzelfde met de andere voet. Herhaal
de oefeningen enkele malen.